2026 COMPLETE QUESTIONS AND CORRECT
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Question:
What are the three effects of intracranial pressure on vital signs?
a. Tachycardia, irregular breathing, hypotension
b. Bradycardia, irregular breathing, hypertension
c. Tachycardia, regular breathing, hypotension
d. Bradycardia, regular breathing, hypertension
✔️ Correct Answer: B
Rationale: Increased intracranial pressure affects the brainstem, producing a pattern
known as Cushing's response, which includes slowed heart rate (bradycardia), abnormal
breathing (irregular respirations), and high blood pressure (hypertension). Option A is
incorrect as tachycardia and hypotension are not part of Cushing's response. Option C is
incorrect as tachycardia and hypotension are not part of Cushing's response. Option D is
,incorrect as regular breathing is not part of the response. NCLEX focus: Neurological
emergencies. DIF: Knowledge. REF: Intracranial Pressure. OBJ: Identify Cushing's
response. TOP: Pathophysiology.
_____ _____ is part of a syndrome called chronic obstructive pulmonary disease (COPD).
a. Emphysema
b. Chronic bronchitis
c. Asthma
d. Pneumonia
✔️ Correct Answer: B
Rationale: Chronic bronchitis is one of the main conditions included in COPD and
involves long-term inflammation of the bronchial tubes. Option A (emphysema) is also
part of COPD but the question specifically asks for the condition that is part of the
syndrome. Option C (asthma) is not classified as COPD. Option D (pneumonia) is an
acute infection, not COPD. NCLEX focus: Respiratory disorders. DIF: Knowledge. REF:
COPD. OBJ: Identify COPD components. TOP: Pathophysiology.
_____ _____ is usually caused by viruses or bacteria and may last several days or weeks.
a. Chronic bronchitis
b. Acute bronchitis
c. Emphysema
d. Asthma
✔️ Correct Answer: B
Rationale: Acute bronchitis is a temporary inflammation of the bronchi typically caused
by infection. Option A (chronic bronchitis) is long-term and part of COPD. Option C
(emphysema) is a chronic condition. Option D (asthma) is a chronic inflammatory
condition. NCLEX focus: Respiratory disorders. DIF: Knowledge. REF: Bronchitis. OBJ:
Identify acute bronchitis. TOP: Pathophysiology.
,A group of diseases characterized by the pathological limitation of airflow in the airway
that is not fully reversible.
a. Asthma
b. COPD
c. Pneumonia
d. Bronchiolitis
✔️ Correct Answer: B
Rationale: Chronic obstructive pulmonary disease is a long-term lung condition that
limits airflow and includes diseases like emphysema and chronic bronchitis. Option A
(asthma) is reversible. Option C (pneumonia) is acute. Option D (bronchiolitis) affects
infants. NCLEX focus: Respiratory disorders. DIF: Knowledge. REF: COPD. OBJ: Define
COPD. TOP: Pathophysiology.
A late sign of shock is:
a. Tachycardia
b. Decreased blood pressure
c. Pale skin
d. Tachypnea
✔️ Correct Answer: B
Rationale: Blood pressure usually remains normal during early shock due to
compensation, but drops later when the body can no longer maintain circulation.
Option A (tachycardia) is an early sign. Option C (pale skin) is an early sign. Option D
(tachypnea) is an early sign. NCLEX focus: Shock. DIF: Knowledge. REF: Shock. OBJ:
Identify late signs of shock. TOP: Pathophysiology.
A PASG is contraindicated if the patient presents with cardiogenic shock or _______.
, a. Hypertension
b. Abnormal lung sounds
c. Trauma
d. Hypothermia
✔️ Correct Answer: B
Rationale: Inflating a PASG can worsen breathing or heart conditions, especially if lung
or cardiac problems already exist. Option A (hypertension) is not a contraindication.
Option C (trauma) may be an indication. Option D (hypothermia) is not a
contraindication. NCLEX focus: Shock management. DIF: Knowledge. REF: PASG. OBJ:
Identify PASG contraindications. TOP: Patient Care.
A policy or protocol issued by a medical director that authorizes EMTs to perform
particular skills in certain situations.
a. Standing orders
b. Online medical control
c. Offline medical control
d. Protocol deviation
✔️ Correct Answer: A
Rationale: Standing orders allow EMTs to provide certain treatments immediately
without contacting medical control. Option B (online medical control) requires direct
contact. Option C (offline medical control) includes standing orders but is broader.
Option D (protocol deviation) is not standard. NCLEX focus: EMS operations. DIF:
Knowledge. REF: Medical Control. OBJ: Define standing orders. TOP: EMS Systems.
A sign of breathing difficulty in children is a decrease in ___.
a. Respiratory rate
b. Pulse rate
c. Blood pressure
d. Temperature